After cataract laser surgery at Ascension Seton Highland Lakes (Ascension Seton)
3201 S Water St, Burnet, TX · Ascension · · NPI 1003833013
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$208.33 with WELLPOINT STAR PLUS vs $1,000.00 with OSCAR HEALTH EXCHANGE — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| WELLPOINT STAR PLUS | 4213_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (SHL) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT CHIP/CHIP PERINATE | 4162_WELLPOINT/AMERIGROUP CHIP (SHL) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT STAR | 4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT STAR | 4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT STAR | 4202_CHIRP AMERIGROUP STAR (SHL) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT STAR | 4202_CHIRP WELLPOINT/AMERIGROUP STAR (SHL) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT STAR KIDS | 4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT STAR KIDS | 4980_WELLPOINT/AMERIGROUP STAR KIDS (SHL) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT STAR PLUS | 4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT STAR PLUS | 4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT STAR PLUS | 4213_CHIRP AMERIGROUP STAR PLUS (SHL) OUTPATIENT 20241201 | $208.33 | — |
| BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| BCBS CHIP/CHIP PERINATE | 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| BCBS CHIP/CHIP PERINATE | 4173_BLUE CROSS CHIP (SHL) OUTPATIENT 20241201 | $208.33 | — |
| BCBS CHIP/CHIP PERINATE | 4173_BLUE CROSS CHIP/STAR KIDS (SHL) OUTPATIENT 20241201 | $208.33 | — |
| BCBS STAR | 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| BCBS STAR | 4224_CHIRP BLUE CROSS STAR (SHL) OUTPATIENT 20241201 | $208.33 | — |
| BCBS STAR KIDS | 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| BCBS STAR KIDS | 5013_BLUE CROSS STAR KIDS (SHL) OUTPATIENT 20241201 | $208.33 | — |
| DELL CHIP/CHIP PERINATE | 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| DELL CHIP/CHIP PERINATE | 4184_DELL CHIP/STAR KIDS (SHL) OUTPATIENT 20241201 | $208.33 | — |
| DELL STAR | 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| DELL STAR | 4235_CHIRP DELL STAR (SHL) OUTPATIENT 20241201 | $208.33 | — |
| SUPERIOR STAR | 4246_CHIRP SUPERIOR STAR (SHL) OUTPATIENT 20241201 | $208.33 | — |
| SUPERIOR STAR PLUS | 4399_CHIRP SUPERIOR STAR PLUS (SHL) OUTPATIENT 20241201 | $208.33 | — |
| UHC STAR | 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| UHC STAR | 4258_CHIRP UHC STAR (SHL) OUTPATIENT 20241201 | $208.33 | — |
| UHC STAR KIDS | 4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| UHC STAR KIDS | 4316_UHC STAR KIDS (SHL) OUTPATIENT 20241201 | $208.33 | — |
| UHC STAR PLUS | 4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| UHC STAR PLUS | 4269_CHIRP UHC STAR PLUS (SHL) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT CHIP/CHIP PERINATE | 4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT CHIP/CHIP PERINATE | 4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201 | $208.33 | — |
| WELLPOINT CHIP/CHIP PERINATE | 4162_AMERIGROUP CHIP/STAR KIDS (SHL) OUTPATIENT 20241201 | $208.33 | — |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | $305.54 | — |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | $320.97 | — |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | $364.99 | — |
| TRICARE | 1229_TRICARE CAH OUTPATIENT 20170101 | $425.48 | — |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | $486.65 | — |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | $486.65 | — |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $522.14 | — |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | $593.11 | — |
| HUMANA HMO CUST | 206_HUMANA HMO CUSTOM 20140201 | $969.15 | — |
| OSCAR HEALTH EXCHANGE | 4511_OSCAR HEALTH PLAN 20251001 | $1,000.00 | — |
Visitor-reported prices
Comments
After cataract laser surgery at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,373.11 | $208.33 – $1,716.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,324.46 | $71.00 – $3,421.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,637.51 | $71.00 – $3,421.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,373.11 | $208.33 – $1,716.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,324.46 | $85.00 – $3,421.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,324.46 | $208.33 – $1,986.69 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,637.51 | $71.00 – $3,421.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,373.11 | $208.33 – $1,716.38 |